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Search Results Type: Posts; User: NotFlo

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  1. Constantly stays late
    Yeah I have a few ideas but I'm sure you wont like them. Some questions, is everyone else really leaving on time or are they punching out and staying late? Is everyone else really completing...
    Feb 12, '13
    Forum: LTC: Directors Nursing / Assistant
  2. New grad and feel so over whelmed. Just sit and cry at the thought of going back
    I don't say this to discourage you at all but to be honest your experience sounds pretty typical. First of all, 16-20 patients in LTC is wonderful. In many places you have 30. Secondly, the...
    Feb 2, '13
    Forum: LPN / LVN Corner
  3. D.O.N' S Practising Favortism by hiring freinds only
    I see it all the time. It's like an epidemic in nursing homes. It seems many DONs travel around with a gang of friends from facility to facility. The new one comes in (because I think we've all...
    Feb 2, '13
    Forum: LPN / LVN Corner
  4. Bending and Breaking the Rules in Nursing
    That is great! I wish all nursing homes would go for this model of care for 99 percent of elderly LTC patients. There really isn't any rationale for keeping them on these restrictive diets. At...
    Jan 30, '13
    Forum: Geriatric Nurses / LTC Nursing
  5. Bending and Breaking the Rules in Nursing
    I think it's great that you did that. I just find it ridiculous that the facility maintained stringent dietary restrictions on a hospice patient. What could possibly be the rationale for that? ...
    Jan 29, '13
    Forum: Geriatric Nurses / LTC Nursing
  6. How to deal with nurses who respond they are busy when you delegate
    I'm a floor nurse on a subacute unit. I can have anywhere from 15-25 patients depending on staffing and census. I would never in a million years have time to do all my patient's care plans. My...
    Jan 28, '13
    Forum: Nurse Management
  7. Uncomfortable from Sexual Remarks from Patient
    Everyone above is right. Tell him very firmly that his comments are totally inappropriate, make you uncomfortable and will not be tolerated. This is an alert and oriented individual, only in his...
    Jan 27, '13
    Forum: Nurse Colleague / Patient Relations
  8. need help filling out LTC admission forms!
    That's pretty funny. In seven years in several different facilities I've never once had an RN do an admission assessment of a new patient or begin the initial plan of care; both duties have always...
    Dec 30, '12
    Forum: Geriatric Nurses / LTC Nursing
  9. I and O's
    Am I the only one that finds that in LTC/rehab "strict" I and O is a joke anyway? Getting anything resembling an accurate I and O seems impossible. I know the CNAs basically make up what they put...
    Oct 22, '12
    Forum: Geriatric Nurses / LTC Nursing
  10. End of the (Med) Error: or, How NOT To Bomb Your Survey
    Certainly nurses can and do make all of the above errors BUT...maybe places should use actual nurses for med administration instead of med techs? I know, I know med techs are cheaper. Plus the...
    Oct 14, '12
    Forum: Nursing and Patient Medications
  11. Toileting during Dialysis
    I totally agree with this. I'm a SNF nurse but I can easily see the other side. Outpatient dialysis facilities are simply not set up to handle ADLs. They are outpatient offices. If we send Mr....
    Aug 26, '12
    Forum: Dialysis / Renal / Urology
  12. Neb treatments
    My facility we do an assessment of the pts ability to maintain and tolerate the neb treatment without direct nurse supervision. It is very quick basically if they can hold the thing or tolerate the...
    Jul 21, '12
    Forum: Geriatric Nurses / LTC Nursing
  13. Retraining Displaced Workers As Nurses
    WIA provided about 1000 for each semester of LPN school for me (three semesters). I paid the balance. There was a long process for getting the WIA grant. First, I had to apply for every other...
    Jul 18, '12
    Forum: General Nursing Discussion
  14. Medpass combining and coumadi's place in it
    Oh well thank goodness you're an RN so you can "assess" if your med combining is safe. Do you mean to imply that an LPN should never combine because they aren't able to determine which meds are safe...
    Jul 7, '12
    Forum: Geriatric Nurses / LTC Nursing
  15. Really don't understand the mystery of LPNs not able being able to do certain things
    I certainly have. I learned the former in A@P one and two and the latter in medical surgical nursing.
    Jul 1, '12
    Forum: LPN / LVN Corner
  16. Combining Med Passes
    I agree that it would be beneficial to talk to your nurse manager/DON and doctor and get these med times changed to something more workable so you can be in compliance and get the meds passed. ...
    Jun 24, '12
    Forum: Geriatric Nurses / LTC Nursing
  17. New On Call procedure. Need ideas, suggestions
    Oh hell no. That's my reaction, and I can almost promise that will be the reaction you will get if you implement this without speaking to your nurses first. At my facility we are all (from the...
    May 31, '12
    Forum: LTC: Directors Nursing / Assistant
  18. Missing Percocet
    Well just not giving many narcotics is not a good solution at all. I work primarily rehab and these people are wanting their PRN narcs Q4hrs esp during the day, they want to be medication before...
    May 28, '12
    Forum: Nursing and Patient Medications
  19. How can you neglect a patient and live with yourself?
    Just know it goes both ways. I also sometimes get ticked off when a LTC patient we've been tending and kept with intact skin, no behavior problems, continent etc. for years goes out to the hospital...
    May 10, '12
    Forum: Emergency Nursing
  20. Nurses Day Gifts
    The thank you card esp. if personalized would mean more to me than anything. My place doesn't celebrate nurses' week, they do celebrate "national nursing home week" whatever that is, and there's...
    May 6, '12
    Forum: General Nursing Discussion
  21. How much of a raise did you get this year?
    Raise, what's that, bwahahaha! Ahem, sorry. Let's see, we got our evals one month and were told raises were being capped at 2 percent. I got my few cents from that. THEN a couple months later...
    Apr 30, '12
    Forum: General Nursing Discussion
  22. What is your typical response?
    I'm a nurse in a facility. I love taking care of hospice patients and I work very well with the hospice nurses that come in. Anyhow, I have a huge issue with some of the nurses I work with...
    Apr 20, '12
    Forum: Hospice Nursing
  23. RN- How do I get the most from CNA/s while not causing major conflict on the unit
    I get your point but honestly...when the end of shift rolls around the CNAs will be history, while I'll still be sitting there hours later trying to finish my charting. If I get a few minutes here...
    Apr 15, '12
    Forum: Nursing Issues On Patient Safety
  24. what do you want to hear during report??
    In rehab the report I give (we tape report) depends on who the oncoming nurse is. If it's a regular who knows all the pts. my report is much briefer than if it's someone I know is new or doesn't...
    Apr 7, '12
    Forum: Geriatric Nurses / LTC Nursing
  25. Need help regarding insulin policy in LTC
    That place sounds like a hot mess. I have never even heard of keeping insulin in a "treatment" cart. I can't believe the supervisor didn't bring a spare set of keys (if they don't have one...that's...
    Apr 4, '12
    Forum: General Nursing Discussion

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